KRISTIE L LATKA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009874

License Status

INACTIVE

Business

First Name

KRISTIE L

Last Name

LATKA

Business Name

KRISTIE L LATKA

Original Issue Date

12/17/1996

Effective Date

07/22/2016

Expiration Date

09/30/2018

City

JANESVILLE

State

Zip

53546

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/07/2018